AMY MICHELLE FOLSOM - Physician Assistant License in Missouri | # 085002246

AMY MICHELLE FOLSOM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002246

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

MICHELLE

Last Name

FOLSOM

Business Name

AMY MICHELLE FOLSOM

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/01/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006